Correlation between Diastasis Rectus Abdominis and Lumbopelvic Pain and Dysfunction

Dalal, Khushboo K.; Kaur, Amrit; Mitra, Mahesh

doi:10.5958/j.0973-5674.8.1.040

Cited by 30 publications

(19 citation statements)

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“…The abdominal muscle is essential for maintaining body posture, torso and pelvic cavity stability, and abdominal organ support (13)(14)(15). Diastasis recti can cause several health complications, such as lower back pain and trunk muscle dysfunction (16,17).…”

Section: Introductionmentioning

confidence: 99%

The ultrasound diagnostic criteria for diastasis recti and its correlation with pelvic floor dysfunction in early postpartum women

Zhang

et al. 2021

Quant Imaging Med Surg

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Background: There has been a long-standing controversy about diastasis recti diagnostic criteria and its relation to pelvic floor dysfunction (PFD). This study aimed to establish ultrasound diagnostic criteria for diastasis recti and investigate the correlation between it and PFD in early postpartum females. Methods:The inter-rectus distance (IRD) was measured at 3 locations in 116 healthy nulliparous females and 108 postpartum females. At the same time, they remained relaxed and then maintained a head-lift posture. The measurement for the 90th percentile was used to define the normal IRD in the nulliparous group. Afterward, the 108 postpartum females underwent an ultrasonographic examination of pelvic floor function. The correlations of these values with the IRD were then examined.Results: We established the following ultrasonographic diagnostic criteria for diastasis recti: an IRD of >2 mm at 3 cm below the umbilicus, >20 mm at the umbilicus, and >14 mm at 3 cm above the umbilicus. The IRD was positively correlated with body mass index (BMI) in the nulliparous group (r=0.286, P<0.01) and with age in the postpartum group (r=0.230, P<0.05). The IRD was not relative to either the PFD ultrasound results or the clinical symptoms. Conclusions:We established a set of ultrasonographic diagnostic criteria for diastasis recti at 3 locations along the umbilicus. There is no clear correlation between diastasis recti and PFD in early postpartum females.

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Section: Introductionmentioning

confidence: 99%

The ultrasound diagnostic criteria for diastasis recti and its correlation with pelvic floor dysfunction in early postpartum women

Zhang

et al. 2021

Quant Imaging Med Surg

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“…A study done by Dalal K et al however found a moderate positive correlation between DRA and lumbopelvic pain [28].…”

Section: Methodsmentioning

confidence: 87%

Assessment of Diastasis Recti Abdominis using Dial Caliper in Overweight and Obese Adults (18 years and above) and Its Relationship with Lumbopelvic Pain: A Pilot Study

Asgaonkar¹,

Khedekar²

2021

IJPR

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Background: Diastasis recti abdominis is present in both gender and is associated with increasing age, activities including regular lifting of heavy weights or sit-ups, a history of midline abdominal surgery, signiﬁcant hormonal changes due to replacement therapy, menopause, congenital, chronic obstructive pulmonary disease and obesity. Studies have proven physiotherapy is beneficial in managing DRA but not many studies are done to show presence of DRA. Hence our study is a small attempt at diagnosing DRA in most vulnerable population i.e. overweight and obese population. Objective: To assess presence of diastasis recti abdominis in overweight and obese adults (18 years and above) using dial caliper. To correlate diastasis recti abdominis with lumbopelvic pain, gender and parity. Methods: 90 subjects were allocated in this study (30 overweight, 30 obese 1 and 30 obese 2). Presence of DRA was assessed using dial caliper in them and correlated with BMI. Subjects who had DRA present, their values were correlated further with Lumbopelvic pain, gender and parity. Results: Out of 90 subjects, 67 (74%) had DRA present [21 (23.3%) in overweight, 22 (24.4%) in obese 1, 24 (26.6%) in obese 2].There is no correlation of Presence of DRA with BMI. DRA has no correlation with lumbopelvic pain and gender. DRA has moderate positive correlation with parity. Conclusion: There is Presence of Diastasis Recti Abdominis in overweight, obese 1 and obese 2 adults; however, they are at equal risk of having DRA. Subjects with DRA are not more likely to have lumbopelvic pain than subjects without DRA. DRA can occur in males as well as females and multiparous females are at increased risk of developing DRA than nulliparous and primiparous. KEY WORDS: Diastasis recti abdominis, overweight, obesity, physiotherapy, lumbopelvic pain.

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“…On the one hand, a recent systematic review [ 15 ] found that there was no correlation between DRA and low back pain. On the other hand, DRA has been linked to pelvic floor dysfunction [ 12 , 13 ], pelvic and low back pain [ 16 , 17 ], and as lumbopelvic stability [ 17 , 18 ]. This can be explained by the synergistic functionality that exists between the pelvic floor, the erector spinae, and the abdominal muscles [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Differences in Inter-Rectus Distance and Abdominopelvic Function between Nulliparous, Primiparous and Multiparous Women

Balasch-Bernat

Pérez‐Alenda

Carrasco

et al. 2021

IJERPH

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Widening of the inter-rectus distance (IRD) is highly prevalent among postpartum women and can lead to dysfunction of abdominopelvic muscles. The aim of this study was to evaluate the differences in IRD and abdominopelvic function between nulliparous, primiparous and multiparous women. A cross-sectional study was conducted on 75 women (25 nulliparous, 25 primiparous and 25 multiparous at 6 months postpartum). The participants underwent ultrasound assessment under three conditions (at rest, abdominal draw-in maneuver (ADIM) and curl-up) at two locations (2 cm above and 2 cm below the umbilicus). Furthermore, abdominopelvic muscle function was determined by prone, supine and side bridge tests. In all conditions and locations, the IRD were significantly higher (p < 0.05) in the primiparous and multiparous women than in the nulliparous. The multiparous women presented greater (p > 0.05) IRD at rest and during ADIM compared to the primiparous women. Regarding abdominopelvic muscle function, differences were only significant (p < 0.05) between the nulliparous with primiparous women in prone and supine conditions. These findings suggest that parity influences IRD: women at 6 months postpartum present greater IRD compared to nulliparous women; multiparous women present greater IRD at rest and during the activation of deep abdominal muscles than primiparous women; and primiparous women exhibit worse abdominopelvic muscle function than nulliparous women.

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Correlation between Diastasis Rectus Abdominis and Lumbopelvic Pain and Dysfunction

Cited by 30 publications

References 0 publications

The ultrasound diagnostic criteria for diastasis recti and its correlation with pelvic floor dysfunction in early postpartum women

The ultrasound diagnostic criteria for diastasis recti and its correlation with pelvic floor dysfunction in early postpartum women

Assessment of Diastasis Recti Abdominis using Dial Caliper in Overweight and Obese Adults (18 years and above) and Its Relationship with Lumbopelvic Pain: A Pilot Study

Differences in Inter-Rectus Distance and Abdominopelvic Function between Nulliparous, Primiparous and Multiparous Women

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